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Home My WebLink AboutMiscellaneous - 29 BRADFORD STREET 1/14/2016 ........................ ................. -WICES NEW ENGLAND ENGINEERING SEF ............ I N C September 30, 2005 Ms. Susan Sawyer North Andover Board of Health z)-j" 0 2"005 400 Osgood Street North Andover, MA 01 8 10 Re: 29 Bradford Street, North Andover, MA As-Built Septic System Design Dear Ms. Sawyer The following As-Built Plans for the above referenced property are being submitted for approval. 1. Three (3) Copies of the As-Built Septic System Design Plans. If you have any comments or questions please do not hesitate to contact this office. Sincerely, Jm�be/rAyrIn Assistant to Benjamin C. Osgood Jr., P.E. 60 B CHWOOD DRIVE-NORTIA ANDOVER, MA 01845-(978)686-1766- (888)359-7645- FAX(978)685-1099 TOWN OF NORTH ANDOVER kORTH '1'.. '4 + Office of COMMUNITY DEVELOPMENT AND SERVICES 0 HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 0 1845 "I'S aws Susan Y.Sawyer,REHS/R -S 978.688.9540-'Phone Public Health Director 978.688.8476 FAX E-MAIL:healthdeptatownofnorthandover.com WEBSITE:hqp://www.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System O constructed; 6-A repaired; (Print Name) located at a ef E3 fl>0-p (Installation Address) was installed in conformance with the North Andover Board of Health approved plan,originally dated and last Revised on with a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CNIR 15.000, Title 5 and local regulations,and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: Eng present atGe(Signature) 49e*qq A,-.% C tnsposS U4- And-Pfint Name Final inspection da te: Engineer Representative(Signature) And-Print Name Installer: (Signature) Date: And-Print Name Engineer: Ltn C 49 (Signature) Date: 9/0 0 1-1 k % ar And-Print Name tAORTi4 �,%.1D 16,1��® ° � O coc.iu niwmn 1• CHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division TjTI . I�f T � As of: Septem6er 29, 2005 This is to certify that the individuafsu6surface disposal system was. Tuffy Repaired'System by. James Keffett .At: 29 0radj"ordStreet %ortFi,4ndover, W q 01845 The Issuance of this certfcate shall not he construed as a guarantee that the system will function satisfactorily. Susan T Sawyer, ROTS/R5 (l u6Cic Yleaith Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER Th Office of COMMUNITY DEVELOPMENTAND SERVICES rr 11EALTH DEPARTMEN 4 , 400 OSGOOD STREET' NORTH ANDOVER, MASSACHUSEITS 01845 Susan Y. Sawyer,REEHS/RS 978.688.9540—Phone PUblic Health Director 978.688.9542 FAX ADDRESS: 29 Bradford Street MAP: LOT: INSTALLER: Kellett DESIGNER: NEES PLAN DATE:6/2/2005, Rev 7/28/05 BOH APPROVAL DATE ON PLAN: 8/1/05 DATE OF BED BOTTOM INSPECTION:9/7/05 DATE OF FINAL CONSTRUCTION INSPECTION: 9/15/05 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS 121 Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged 121 1500gallon tank has been installed H-10 loading 2 piece construction ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) El Inlet tee installed, centered under access port ME Outlet tee (gas baffle) installed, centered under access port El 2-24" inch covers to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ME Hydraulic cement around inlet & outlet Comments: Page 1 of 3 TOWN OF NORTH ANDOVER RTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT' 400 OSGOOD STREE1' NORTH ANDOVER, MASSACHUSE-l'IS 01845 S CHUS Susan Y. Sawyer, RE]IS/RS 978.688.9540 Phone Public Health Director 978.655.9542 FAX PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged [KI 1000 gallon Combo tank installed H-10 loading - 2 piece construction) 0 Inlet tee installed, centered under access port El Pump(s) installed on stable base 0 Alarm float working 121 Pump On/Off float working El Drain hole in pressure line [E] 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved (Visual testing ED Hydraulic cement around inlet & outlet Comments: Combo tank (see Septic notes) D-BOX IRI Installed on stable stone base ME Inlet tee (if pumped or >0.08'/foot) 0 Hydraulic cement around inlet & outlets IKI Observed even distribution Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan MR Size of SAS excavated as per plan MR Title 5 sand installed, if specified on plan 0 laterals installed and ends connected to header (and vented if impervious material above) El Gravelless disposal systems: type, number and location as per plan 71 Elevations of laterals installed as on approved plan 0 40 Mil HDPE barrier installed ❑ Final cover as per plan Comments: Page 2 of 3 TOWN OF NORTH ANDOVER V%ORTH In c' Office of COMMUNITY DEVELOPMENT AND SERVICI.i,'�s HEALTH DEPARTMENT 400 OSGOOD STREET 1`OR'111 ANDOVER, MASSACHUSETTS 01845 CH Susan Y. Sawyer, REHS/RS 978.688.9540 Phone Public Health Director 978.688.9542 FAX CONTROL PANEL ED Alarm & Pump are on separate circuits 0 Alarm sounds when float is tripped rx-1 Location of control panel: Basement ❑ Rated for exterior if placed outside Comments: Could not access Basement—Try to enter at final grade inspection SETBACK DISTANCES Tank SAS Sewer MR Property line 10 10 El Cellar wall 10 20 SYSTEM ELEVATIONS Benchmark: 100.00 Rod at Benchmark: 0.75 Height of Instrument: 100.75 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT Septic Tank IN 94.27 94.46 Septic Tank OUT 94.02 94.19 Pump Chamber IN 94.00 94.17 Pump Chamber OUT 93.73 93.48 Distribution Box IN 96.21 96.30 Distribution Box OUT 96.04 96.15 Lateral 1 HIGH 96.40 96.45 Lateral 1 LOW 96.40 96.42 Lateral 2 HIGH 96.40 96.45 Lateral 2 LOW 96.4 96.45 Page 3 of 3 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT a 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 ggcwuge r Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.6889542—FAX SEPTIC SYSTEM CONSTRUCTI ON NOTES ADDRESS: ld MAP:_ LOT: INSTALLER: PLAN DATE: r BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION- -� DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER = TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: Page 1 of 4 TOWN OF NORTH ANDOVER f pORTIq ] Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET *^4 y m* NORTH ANDOVER, MASSACHUSETTS 01845 ��s �cHUS I Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health. Director 97$.688.9542—FAX SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, under access port ❑ Outlet tee (gas baffle or effluent filter) installed, under access port ❑ inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 4 TOWN OF NORTH ANDOVER NoRrw Office of COMMUNITY DEVELOPMENT AND SERVICES 0 HEALTH DEPARTMENT 400 OSGOOD STREET 4V 1 4V- NORTH ANDOVER, MASSACHUSETTS 01845 3 S Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ) 0 ❑ Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above ❑ ) Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete timber/block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: Page 3 of 4 I TOWN OF NORTH ANDOVER of N0 Tw Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 gewugk Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX I CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW f Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 TOWN OF NORTH ANDOVER 0ORTh ".0 1, Office of COMMUNITY DEVELOPMENTAND SERVICES 0 HEALTH DEPARTMENT 400 OSGOOD STREET NOR"rH Au`DOME MASSACI-iUSETTS 01845 CH 978.688.9540 --Phone Susan Y. Sawyer, REfIS/RS 978.688.9542- FAX Public Health Director fiealthdepl. towiiofnoCthaiiggver.coi-n-e-mail ww\v,towiiofiioilliaiidovet-.cotii -website APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE:— 6 0 LOCATION: '+k HOMEOWNER NAME: Z, A 6 ( C rL" LICENSED INSTALLER NAME: 4 /61 PLEASE PRINT SIGNATURE: -TELEPHONE# ................... . ......... ............... CHECK ONE: FULL SYSTEM REPAIR: ($250) COMPONENT REPAIR (indicate what parts): ($125) • NEW CONSTRUCTION: • If NEW CONSTRUCTION, please attach the Foundation As-Built Plan. $250.00 or$125 Fee Attached? Yes No Project Manager Obligation From Attached? Yes No Foundation As-Built? Yes No Floor Plans? Yes No Approval of Health Agent Date: Agent i INSTALLER PROJECT MANAGEMENT OBLIGATIONS i As the North Andover licensed installer for the construction of the septic system for the property at r'� �'°� ) " � relative to the application ry GFC,t`ri CJ ..� dated c for plans by / `,'S 1 and date&nPe. �pVr4rwith revisions dated � '�:'f"1 ° i ""00�� I understand the following obligations for management of this project: 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item three shall be applicable. 3. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Tile 5 and the Board of Health Regulations may result in a$50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As-built or verbal OK from engineer must be submitted to Board of Health, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade—Installer must request inspection when all grading is complete. Does not have to be on site. 4. As the installer I understand that only I may perform the work(other than simple excavation) required to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer µm Date: 0 "" Disp s orks Construction Permit# I Leo Poirier APPLICATION FOR SEWAGE DISPOSAL IMTALIATION Bradford t. HEALTH DEPARTMENT - NORTH ANDOVER, MSS. I hereby make application for a permit for a sewage disposal installation at LS11___ a I will install this system in ac- cordance with all the laws of the Commonwealth of lvhssachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. 1 will install a con- crete septic tank of 70Q0 c& in size. A manhole (s) permitting easy cleaning will be provided with_ removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 3.80 —lineal (qgpW) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3A to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The ,joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1A" (dia. ) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of the will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover an Dortion of this installation until approved b the insDection officer, as p rovided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE l Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DA TE_ ILI T (Aignature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DA TE 43 Signature of pecting Officer Percolation Test 2 min. Soil-sand Garbage Grinder___146____ _ I f 1 I May 13, 1961 Miss Mary Sheridan R. M. Health Agent Board of stealth North Andover, Mass. Dear Miss Sheridan: An exwdnation was made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Bradford Street building site of Leo B. poiriero The land in general is high. The subsoil in the area was of sand content and a 2-minute percolation test was conducted. It is recox n►ended that a 1,000 gallon concrete septic t (per awnerts request) be installed together with 180 lineal feet of drain pipe. i Very truly yours, William scull WJDthd i i I BOARD OF HEALTH TOWN Or, NORTH ANDO'VEE R q ASS i M w„ xb ,aa ,z R p "P a r a fr e i r , 40 1 �p u ri OF 11 w u w �. m a w , C ✓ /1L ) ] pr •w,X ✓T NO. . .. . w d . . TEL. 4. GARBAGE GRINDER YE,(3 NO. SHOW DIhENSIONS OF HOITSE 6, SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7, SHOW DIMISDIKSIORS OF LOZ, SHOW LOCATION AND SIZE OF SEPTIC ",PANIC OR CESSPOOL 9. NOTE LOCRP ICON ANEW ISTANCI� OF WELL FROM SEVERAGE SYSTEM 10,E SHGW LOCATION OF BROOKS, aS"J RE AN S 9 DITCHES 9 12D GE, OlYTCR;OPp ETC. 11, SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE ' i NOTE: LOCAL REGULATIONS SI-IOtJID BE READ CAREFULLY. I i I